Abstract
The current study uses a multiple goal theoretical perspective to explore how Somali immigrant families living in Ohio, USA, make decisions regarding whether to vaccinate their children against human papillomavirus (HPV)—a leading cause of cervical cancer. A focus was placed on the communication goals of parents in HPV vaccine discussions with their child and health care provider. Semi-structured interviews were audiotaped, transcribed, and analyzed using a grounded theory approach. Key themes are the implications of the vaccine for early sexual activity, confusion between HPV and HIV (human immunodeficiency virus), the perception that the HPV vaccine is unnecessary, uncertainty about the vaccine’s efficacy and side effects, avoidance of parent-child communication about the vaccine, and a preference for framing the vaccine as a health promotion behavior. Framing the threat of HPV in the context of initiation of sexual activity, uncertainty regarding vaccine efficacy, and anticipated regret account for the inconsistency in HPV vaccine uptake among Somali parents. Clinicians should consider talking about HPV as a distal versus an immediate threat and HPV vaccine uptake as a health-promotion behavior rather than a sexually transmitted infection prevention behavior.
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References
Division of STD Prevention. Prevention of genital HPV infection and sequelae: report of an external consultants’ meeting [Internet]. Atlanta, GA: Centers for Disease Control and Prevention. 1999. Available from: http://www.cdc.gov/std/hpv/HPVSupplement99.pdf
Seeff LC, McKenna MT (2003) Cervical cancer mortality among foreign-born women living in the United States, 1985 to 1996. Cancer Detect Prev 27(3):203–208
Gany F, de Bocanegra TH (1996) Overcoming barriers to improving the health of immigrant women. J Am Med Wom Assoc 51(4):155–160
Johnson CE, Ali SA, Shipp MP-L (2009) Building community-based participatory research partnerships with a Somali refugee community. Am J Prev Med 37(6 Suppl 1):S230–S236
Austvoll-Dahlgren A, Helseth S (2010) What informs parents’ decision-making about childhood vaccinations? J Adv Nurs 66(11):2421–2430
Laveist TA, Nuru-Jeter A (2002) Is doctor-patient race concordance associated with greater satisfaction with care? J Health Soc Behav 43(3):296–306
Schouten BC, Meeuwesen L (2006) Cultural differences in medical communication: a review of the literature. Patient Educ Couns 64(1–3):21–34
Kreuter MW, McClure SM (2004) The role of culture in health communication. Annu Rev Public Health 25(1):439–455
Carroll J, Epstein R, Fiscella K, Gipson T, Volpe E, Jean-Pierre P (2007) Caring for Somali women: implications for clinician-patient communication. Patient Educ Couns 66(3):337–345
Pavlish CL, Noor S, Brandt J (2010) Somali immigrant women and the American health care system: discordant beliefs, divergent expectations, and silent worries. Soc Sci Med 71(2):353–361
Hill N, Hunt E, Hyrkas K (2011) Somali immigrant women’s health care experiences and beliefs regarding pregnancy and birth in the United States. J Transcult Nurs 23(1):72–81
Hecht ML, Krieger JL (2006) The principle of cultural grounding in school-based substance abuse prevention: the drug resistance strategies project. J Lang Soc Psychol 25(3):301–319
Kreuter MW, Lukwago SN, Bucholtz DC, Clark EM, Sanders-Thompson V (2003) Achieving cultural appropriateness in health promotion programs: targeted and tailored approaches. Health Educ Behav 30(2):133–146
Caughlin JP (2010) A multiple goals theory of personal relationships: conceptual integration and program overview. J Soc Pers Relatsh 27(6):824–848
Krieger JL, Kam JA, Katz ML, Roberto AJ (2011) Does mother know best? An actor-partner model of college-age women’s human papillomavirus vaccination behavior. Hum Commun Res 37(1):107–124
Dempsey AF, Abraham LM, Dalton V, Ruffin M (2009) Understanding the reasons why mothers do or do not have their adolescent daughters vaccinated against human papillomavirus. Ann Epidemiol 19(8):531–538
Brewer NT, Fazekas KI (2007) Predictors of HPV vaccine acceptability: a theory-informed, systematic review. Prev Med 45(2–3):107–114
Gamble HL, Klosky JL, Parra GR, Randolph ME (2009) Factors influencing familial decision-making regarding human papillomavirus vaccination. J Pediatr Psychol 35(7):704–715
Gainforth HL, Cao W, Latimer-Cheung AE (2012) Determinants of human papillomavirus (HPV) vaccination intent among three Canadian target groups. J Cancer Educ 27(4):717–724
Montgomery MP, Dune T, Shetty PK, Shetty AK (2015) Knowledge and acceptability of human papillomavirus vaccination and cervical cancer screening among women in Karnataka. Indian J Cancer Educ 30(1):130–137
Taylor VM, Burke N, Do H, Liu Q, Yasui Y, Bastani R (2012) HPV vaccination uptake among Cambodian mothers. J Cancer Educ 27(1):145–148
Carroll J, Epstein R, Fiscella K, Volpe E, Diaz K, Omar S (2007) Knowledge and beliefs about health promotion and preventive health care among Somali women in the United States. Health Care Women Int 28(4):360–380
Asch DA, Baron J, Hershey JC, Kunreuther H, Mezaros J, Ritov I et al (1994) Omission bias and pertussis vaccination. Med Dec Making 14(2):118–123
Bednarczyk RA, Davis R, Ault K, Orenstein W, Omer SB (2012) Sexual activity-related outcomes after human papillomavirus vaccination of 11- to 12-year-olds. Pediatrics 130(5):798–805
Chandran S, Menon G (2004) When a day means more than a year: effects of temporal framing on judgments of health risk. J Consum Res 31(2):375–389
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Dailey, P.M., Krieger, J.L. Communication and US-Somali Immigrant Human Papillomavirus (HPV) Vaccine Decision-Making. J Canc Educ 32, 516–521 (2017). https://doi.org/10.1007/s13187-015-0959-0
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DOI: https://doi.org/10.1007/s13187-015-0959-0